Individual
MRS. JENNIFER BOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
255-D SPRAGINS STEET, HUNTSVILLE, AL 35801
(256) 519-2345
(205) 987-8080
Mailing address
3325 LORNA RD # 2234, BIRMINGHAM, AL 35216-7404
(205) 987-8080
(205) 987-8080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2350
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51527024
B/C B/S OF AL
AL
Enumeration date
10/13/2006
Last updated
07/08/2007
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